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Responsible for oversight of defined Health Services programs, services, and functions which may include, but not be limited to, health management, behavioral health services, care management, utilization management, grievance and appeals, claim review, and policy/procedure development.
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Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
$29.1 - $62.31Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Prior clinical experience, managed care experience, DME, Florida Medicaid OR utilization management experience. Become a part of our caring community and help us put health first.
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Demonstrated leadership experience in BH utilization and care management, particularly for members with Severe Mental Illness (SMI), Substance Use Disorders (SUD), co-occurring physical health issues, and dual disorders of mental health and substance abuse.
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Knowledge of addiction/recovery, behavioral health, self-help group process and principles of counseling. Or a Bachelor’s Degree in a human service field with demonstrated steady progress towards QHP status (CASAC-T or enrolled in a MSW or Mental Health Counseling Masters or equivalent licensure-oriented program.
$21.55 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Provide ongoing therapeutic case management services that will ensure successful permanent housing, decrease social isolation, decrease and prevent relapse risks, advocacy to deter evictions, and linkage and brokerage to any needed services such as medical, dental, mental health, substance abuse, like skills training, self-help, money management, meaningful community activities, volunteer services, job placement, etc.
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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
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Customers enrolled in the ECM program receive comprehensive care management from a single System Navigator who coordinates all their health and health-related care, including physical, mental, and dental care, and social services.
$26.44 - $30.57 an hourFull-timeExpandApply NowActive JobUpdated 29 days ago - UpvoteDownvoteShare Job
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Duties Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs.
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Serve in rotation with other mental health providers to provide after-hours and weekend client care, if required, to include accepting on-call rotation. Master's degree in counseling, social work, psychology, mental health, or related field from an accredited college or university is required.
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The Equine Therapist provides hope and healing through interaction with horses and compassionate mental health care that promotes healthy connection to self and others. General understanding of barn management and general equine health is strongly preferred.
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In this position, you will perform crisis intervention to reduce hospitalizations, effectively link consumers with on-going mental support services, contact Care Crisis Response Services to initiate designated crisis response (DCR) when appropriate, and provides a lens to view behavioral health challenges as manageable episodes.
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MOMS courses are generally co-taught by two staff, a licensed clinician and a Community Mental Health Ambassador (CMHA), a peer role. From homelessness prevention in Staten Island to supportive housing in the Bronx; from employment training in Manhattan to after school programs and college access in Brooklyn; from family shelter and support in Queens to increasing affordable housing across the city, CAMBA provides holistic services to help struggling New Yorkers stabilize their lives and become self-sufficient.
$70,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Through utilization of the nursing process through skilled assessment, education, collaboration and coordination of healthcare and community resources, the RN Care Manager assists patients to gain self-efficacy/management skills, achieve optimum functional health status, and quality of life.
$48.84 - $80.43 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Provide staff training in areas related to mental health issues such as signs and symptoms of mental illness, management of mentally ill offenders, crisis intervention and related topics.
$36Full-timeExpandApply NowActive JobUpdated Today
mental health self help utilization management jobs Title: care manager in Lexington, Massachusetts
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